DEAN RIVERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001369

License Status

NOT RENEWED

Business

First Name

DEAN

Last Name

RIVERS

Business Name

DEAN RIVERS

Original Issue Date

03/14/2000

Effective Date

03/14/2000

Expiration Date

03/01/2002

City

NORWALK

State

Zip

06855

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/09/2006